The Journal of mHealth Vol 1 Issue 1 (Feb 2014) | Page 23
FDA Issues Final Guidance on Mobile Medical Apps
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Mobile apps that provide patients a portal into
their own health information, such as access to
information captured during a previous clinical
visit or historical trending and comparison of vital signs (e.g., body temperature, heart rate, blood
pressure, or respiratory rate);
Mobile apps that aggregate and display trends
in personal health incidents (e.g., hospitalisation
rates or alert notification rates);
Mobile apps that allow a user to collect (electronically or manually entered) blood pressure
data and share this data through e-mail, track and
trend it, or upload it to a personal or electronic
health record;
Mobile apps that provide oral health reminders
or tracking tools for users with gum disease;
Mobile apps that provide prediabetes patients
with guidance or tools to help them develop better eating habits or increase physical activity;
Mobile apps that display, at opportune times, images or other messages for a substance abuser
who wants to stop addictive behavior;
Mobile apps* that are intended for individuals to
log, record, track, evaluate, or make decisions or
behavioral suggestions related to developing or
maintaining general fitness, health or wellness,
such as those that:
» Provide tools to promote or encourage
healthy eating, exercise, weight loss or other
activities generally related to a healthy lifestyle or wellness;
» Provide dietary logs, calorie counters or
make dietary suggestions;
» Provide meal planners and recipes;
» Track general daily activities or make exercise or posture suggestions;
» Track a normal baby’s sleeping and feeding
habits;
» Actively monitor and trend exercise activity;
» Help healthy people track the quantity or
quality of their normal sleep patterns;
» Provide and track scores from mind-challenging games or generic “brain age” tests;
» Provide daily motivational tips (e.g., via
text or other types of messaging) to reduce
stress and promote a positive mental outlook;
» Use social gaming to encourage healthy
lifestyle habits;
» Calculate calories burned in a workout.
*When these items are not marketed, promoted or intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, or do not otherwise meet the definition
of medical device, FDA does not regulate them. When
they are marketed, promoted or intended for use in the
diagnosis of disease or other conditions, or in the cure,
mitigation, treatment, or prevention of disease, or otherwise meet the definition of medical device, FDA intends to exercise enforcement discretion.
The publication of this report signifies a step change
for developers of applications and services that rely
upon mobile delivery for provision of healthcare solutions. The FDA’s clear position allows for developers
to more easily interpret the regulatory landscape and to
determine the best strategy to ensure compliance.
Ref: Mobile Medical Applications – Guidance for Industry and Food and
Drug Administration Staff. U.S Department of Health and Human Services Food and Drug Administration. September, 2013. For full report go
to: http://www.fda.gov/medicaldevices/productsandmedicalprocedures/
connectedhealth/mobilemedicalapplications
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The Journal of mHealth